Chantell M Spohr, | |
104 Nicholas Pl, Avilla, IN 46710-0069 | |
(260) 897-3308 | |
Not Available |
Full Name | Chantell M Spohr |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 104 Nicholas Pl, Avilla, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275063380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 28173978A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71007644A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkview Noble Hospital | Kendallville, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkview Health System Inc | 2163336967 | 1192 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
---|---|
Chantell M Spohr, 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Chantell M Spohr, 104 Nicholas Pl, Avilla, IN 46710-0069 Ph: (260) 897-3308 |
Kourtney Marie Terry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Miner Rd, Avilla, IN 46710 Phone: 260-226-0388 | |
Ronda L Lehn, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Nicholas Place,, Box 859, Avilla, IN 46710 Phone: 260-897-3308 Fax: 260-897-3650 |